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Post-Hospitalization Care Toolkit

Post-Hospitalization Toolkit

5 min read

 

Project Type

Service design

Course name

Design for Dignity

Team Advocate - Melissa Ellowitz, Mariam Alsadek, Sunny Cheng

My Role

User research, conceptualization, and visual design


 

Summary

Design a toolkit that bridges the gap between discharged chronically ill patients and their “new normal” life.

Main Goal

Empower those suffering from chronic conditions by connecting them to essential resources, as well as the tools to communicate their needs.

 

I want to be seen as a “whole“ person, not a patient defined by symptoms

an interview participant suffering from chronic condition

 
 

The Problem

The current US healthcare system lacks a standardized process to aid discharged patients outside of the hospital.

This is particularly challenging for people with chronic conditions, as most require mental rehabilitation, and their health conditions tend to fluctuate.

The lack of resources and understanding, as they are discharged, often exacerbates their mental and physical illness which may lead to hospital re-admissions.

 
 
 
 

The Solution

Empathize, Define, Ideate, Prototype, Validate

 
 
 

Qualitative Research

In order to come up with a solution that families, social workers, and healthcare professionals can “adopt” in reality, we interviewed a patient, suffering from a rare chronic condition, her parents, as well as a social worker (who normally aids in discharge planning.) The semi-structured interview questions are divided into the below topics based on the case studies and information we’ve found about discharge planning in the US.

 
 
 

What surprised us most from our research is the lack of standardized discharge plans or the over-simplified plans as a result of time constraints. Chronic conditions often impact the patients’ families as a unit, who often have trouble empathizing with each other’s pains and needs. Thus, our solution needs to focus on improving communication (among families, social workers, and patients) and translating the insights into a discharge plan for guidance.

 
 

Key research findings from our interviews

 
 
 

Ideation

The team began looking into possible “familiar” and unintrusive solutions. Tim Brown, the Executive of IDEO, previously mentioned in his book Change in Design that—” to get people to try something new is to build upon an experience that is familiar to them.”

During our brainstorms, we came up with a “card games” system for the three phases of post-hospitalization care. The gamification of communication helps shaped the safe space for sharing while providing the guidance and insights social workers need to customize a holistic discharge plan.

 
 
 
 

Prototype + Validate

To validate whether our card games are efficient and approachable. We brought some printed prototypes to class. In order to explain the service system properly, we also storyboarded an “experience prototype” to quickly immerse the class in the scenario we are designing for.

 
 

Prototypes - The Spoon Theory, Chronicthetical, and Pictionary

The prototypes of the games were tested in two groups. The Spoon Theory and Pictionary tested especially well in a group setting, but some of the rules had to be modified to be a bit more challenging.

 
 
 
 

Final Cards Design

The cards are designed to be an “open source” that can be downloaded by schools, hospitals, social workers, and families. There will also be blank templates so people can contribute to the contents, making them more inclusive towards all types of chronic illness.

 
 

Chronicthetical #Simulation

Based on the popular card game Superthetical. Players are introduced to hypothetical scenarios that ask them to take a stand on matters of dignity, social stigma, and personal preference.

 

Conversation game #safe space

A series of questions that helps family members and patient build better communication pattern and a deeper understanding of one another.

 

Pictionary #Reflection

Two teams have to sketch and guess as many words and situations in five rounds (5 mins each). Whichever team guesses the most wins. The words and situations are associated with post-hospitalization care, and are designed to make players reflect on how someone with chronic condition is treated.

 

The Spoon Theory #Role Play

The Spoon Theory is a metaphor to describe the amount of mental or physical energy a person has available for daily activities and tasks. Spoons provide a visual representation of units of energy a person devotes to each task in a day.

Players take on the role of a person with a chronic condition to see how they navigate their day, work to conserve energy and find resources to help them succeed.

 

Your Move #Empowerment

Your Move cards are meant to provide guidance to patients and families who wish to advocate for policy-related issues. A social worker will first discuss with the family or patient to figure out what potential “actions” are required.

The corresponding cards then detail the steps one needs to execute the action.